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Paul J. Kim Youth Group kickoff event

St Leo the Great Church

Friday, September 19, 2014 from 7:00 PM to 9:00 PM (PDT)

Paul J. Kim Youth Group kickoff event

Ticket Information

Type End Quantity
General admission Ended Free  

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Event Details

  • DOORS will OPEN at 630pm - Arrive early. Event will be held in the GYM.
  • This presentation is open to all youth and teens from 6th grade through 12th grade
  • There will be snacks available for sale before and  during the event .
  • Paul J Kim CDs and merchandise will be available for sale.
  • There will be an opportunity at the end of the event to make  a donation to help offset the costs.
  • Here is a link to his website: http://pjkmusic.com/blog/

    Paul J. Kim is an International youth speaker, vocalist, and beatboxer.  He shares his passion for Jesus Christ and the New Evangelization via music, comedy, and inspirational talks.  He has been a featured speaker & performer at the National Catholic Youth Conference, the Steubenville Summer Youth Conferences, and the Spirit in the City Festival in London, UK. 

Have questions about Paul J. Kim Youth Group kickoff event? Contact St Leo the Great Church

When & Where


St Leo the Great School Gym
88 Race Street
San Jose, CA 95126

Friday, September 19, 2014 from 7:00 PM to 9:00 PM (PDT)


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Organizer

St Leo the Great Church

Diocese of San Jose____________________________

R i s k & I n s u r a n c e M a n a g e m e n t

 

Student Activity Waiver Form

General Liability

Parish/School Information

Location Name: ST LEO THE GREAT

Location #:     

Location Address: 88 RACE STREET SAN JOSE CA 95126

Telephone: 408-394-8060

Contact Name: LIDIA FIANDEIRO

Facsimile:      

notice to administrators/supervisors: this form   must be completed and copy filed
  when a student participates in an   activity sponsored by the school or parish.

Refer any questions to Risk & Insurance   Management telephone: 408-983-0250 / Facsimile: 408-983-0271.

     

 

Student Personal Information

Student Name:      

Telephone:      

Home Address:      

 

Supervisor Name:      

Telephone:      

Medical Plan Name:

Policy Number:      

Medical Plan Address:

Telephone:      

Emergency Contact Name:      

Telephone:      

Emergency Contact Name:      

Telephone:      

 

Activity Information

Date of Activity: SEPTEMBER 19, 2014 (FRIDAY)

Name of   Activity:  YOUTH GROUP –   GUEST SPEAKER PAUL J.KIM

 

Paul J. Kim is an International youth speaker, vocalist, and beatboxer.  He presents and performs full time, sharing his passion for Jesus Christ and the New Evangelization via music, comedy, and inspirational talks.  He has been a featured speaker & performer at the National Catholic Youth Conference, the Steubenville Summer Youth Conferences, and the Spirit in the City Festival in London, UK. 

 

 

Waiver Authorization

form MUST BE COMPLETEd IN ALL RESPECTS, SIGNED and   DATED TO AUTHORIZE THE waiver.

I hold the parish and Diocese of   San Jose harmless from any claim of injury, sickness, illness or damage that   my child may suffer or sustain during   the ACTIVITY listed above, with exception to injury of damages arising out of   the sole negligence of the parish or Diocese of San Jose.

I attest that my child is   physically fit to participate in this event.

In the event my child becomes ill   or injured, i do hereby consent to whatever x-ray, examination, medical or   treatment and hospital care are considered necessary in the best judgement of   the attending physicain and performed by or under the supervisoin of a member   of the medical staff of the hospital facility providing the treatment.

I am not aware of any medical   condition which would render it inappropriate for my child to participate in   any such activity.

Parent   Signature:

Date Signed:  

 

Internal Use Only

Waiver Received   By:      

Date Received:      

 

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